Bio-Identical Hormone Replacement Therapy (also known as BHRT) is a means of replacing hormones that are no longer being produced naturally by the body. Not only are we replacing deficient hormones, but we are trying to balance current hormones to eliminate symptoms of menopause and the aging process.

The hormones we are working to balance are Estrogen, Progesterone, and Testosterone.

At Performance Medical Clinic, your evaluation will include a detailed consultation with a Medical Doctor, and extensive blood analysis to identify both deficiencies and imbalances. Not only are Bioidentical Hormones extremely effective, they are safer than their pharmaceutical counterparts and other synthetic hormones. Bioidentical hormones are the exact chemical structure that your body intended to use.

Keep in mind Bioidentical Hormones are always superior to synthetic, pharmaceutical alternatives.


Throughout the aging process, our bodies change and develop certain hormone imbalances and deficiencies. Menopause is defined as the time at which menses has stopped for one year, however, symptoms can become apparent several years before actual menopause occurs. This is referred to pre-menopause or perimenopause.

Perimenopause most often starts in women ages 40-44, but can begin in some women as early as their 30s!

These feelings can be uncomfortable and life altering, but can be alleviated and even eliminated completely with Hormone Replacement Therapy.


  • Hot Flashes

  • Night Sweats

  • Headaches

  • Mood Swings

  • Weight Gain

  • Decreased Libido

  • Fatigue

  • Trouble Concentrating

  • Trouble Sleeping

  • Loss of bone- increasing risk for osteoporosis


  • ESTROGEN imbalance is responsible for night sweats, hot flashes, dry skin, and also contributes to fatigue.

  • PROGESTERONE imbalance is responsible for sleep difficulties, depression, irritability, anxiety, mood swings, migraines, and palpitations.

  • TESTOSTERONE imbalance is responsible for low libido or drive, inability to orgasm, fatigue, memory issues, poor concentration, and magnification of joint pain and stiffness.


PELLETS100% Bio-identical Hormone Pellets. Pellets are inserted every 3-4 months through a very quick and easy office procedure, with no downtime. After insertion, capillaries begin to form around the pellets. As blood flows over the pellets, our bodies slowly absorb the hormone. Pellets are “cardiac driven”, meaning that as your heart rate increases, more hormone will be released as the body needs it. This is unlike other therapies, which are time released, and therefore prevents the “roller coaster” effect of those delivery methods.

With Bio-identical Hormone Pellets, the hormones are absorbed by your body gradually. Your body has more of an opportunity to gradually acclimate to the presence of added hormones without becoming overwhelmed. Pellets provide a more stable and consistent hormone therapy experience.


CREAMS – Applied to skin daily, creams can be a preferred method for delivering hormones for women, as they can be easily titrated as hormone needs change. Creams can also be stopped for a few days per month to allow hormone receptors in the body to maintain their sensitivity to circulating hormones. In most cases, if multiple hormones are needed (Estrogen, Progesterone, and Testosterone) all the hormones can be compounded into one cream for ease of use.

INJECTIONS – Injections are usually given biweekly to women to maintain Testosterone levels. They are relatively painless and can be given at home.


Benefits of Bioidentical Hormone Therapy:

  • Improved mood and sense of well being.

  • Anti- Aging effects- diminishes fine lines and wrinkles.

  • Decreased Blood Pressure.

  • Decreases oxidation of LDL (bad cholesterol) while increasing HDL (good cholesterol), which diminishes your risk of coronary artery disease and can decrease risk of strokes.

  • Aids in formation of neurotransmitters, such as serotonin, which depresses anxiety, irritability and decreases pain sensitivity.

  • Some studies show that estrogen may stimulate production of choline acetyltransferase an enzyme that helps prevent Alzheimer’s.

  • Maintain bone density and prevents osteoporosis.

  • Fewer blood clots (DVT) compared to synthetic hormones.

Sexual Dysfunction:

  • Dryness

  • Painful Intercourse

  • Lack of Sensibility

  • Inability to Achieve Orgasms

40 - 50% of Women experience some form of Sexual Dysfunction.

Low sexual desire often leads to relationship distress and anxiety.

Many times, Sexual Dysfunction is a symptom of Hormone Imbalance, which is why it is very important to have Hormone Levels checked prior to beginning any type of treatment.

Keep in mind that Sexual Dysfunction or lack of libido can be a sign of Hormonal Imbalance in Women. Hormonal Imbalance can also lead to symptoms of weight gain, fatigue, grumpiness, depression, low libido, and dryness. Hormonal Imbalance can be diagnosed with a simple blood test and with treatment, results can be astonishing.

We BELIEVE that the current healthcare system is broken. We provide a process to achieve better health, with the PURPOSE of helping patients live longer, be healthier, and optimize their performance.



1181 State Route 157, Suite 1B

Edwardsville, IL 62025

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Business Hours

Monday: 8:00 AM – 6:00 PM

Tuesday: 8:00 AM– 6:00 PM

Wednesday: 8:00 AM – 6:00 PM

Thursday: 8:00 AM – 6:00 PM

Friday - By appointment


These services have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. The material on this website is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any therapy program. Any designations or references to therapies are for marketing purposes only.